How much rates vary
Facilitymedian $71 · 10th to 90th $25 to $126Professionalmedian $79 · 10th to 90th $59 to $562
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $120.23 | Facility | None | $61.66 | $70.79 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $165.96 | Facility | TC · Technical part | $22.39 | $33.88 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $61.66 | $70.79 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $42.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $74.13 | Professional | TC · Technical part | $22.39 | $26.92 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Facility | None | $21.38 | $22.91 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $204.17 | Professional | None (both parts) | $52.48 | $64.57 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $120.23 | Professional | 26 · Professional part | $33.88 | $42.66 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $97.72 | Professional | TC · Technical part | $18.62 | $21.88 | $97.72 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $131.83 | Facility | None | $52.48 | $77.62 | $131.83 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $117.49 | Professional | None (both parts) | $58.88 | $85.11 | $117.49 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $56.23 | $74.13 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $28.84 | $41.69 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $83.18 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $141.25 | Facility | None | $43.65 | $47.86 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $61.66 | $75.86 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $46.77 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $66.07 | Professional | TC · Technical part | $21.88 | $27.54 | $66.07 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $138.04 | Professional | None | $57.54 | $102.33 | $138.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $44.67 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $20.89 | $58.88 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $204.17 | Professional | None | $75.86 | $91.20 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $42.66 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $57.54 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $562.34 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $245.47 | $302.00 | $302.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $288.40 | $363.08 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $52.48 | $56.23 | $109.65 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $141.25 | Facility | None | $58.88 | $89.13 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $61.66 | $75.86 | $147.91 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $46.77 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $27.54 | $63.10 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $53.70 | $74.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $72.44 | Professional | TC · Technical part | $20.89 | $28.84 | $72.44 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $34.67 Typical High $83.18 | Facility | 52 · Reduced service | $28.18 | $34.67 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $14.13 Typical High $33.88 | Facility | 53 · Discontinued | $11.48 | $14.13 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $28.18 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.48 | $12.30 | $14.45 |
Where California sits
The same service costs 3.4 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 33rd of 51
$79.43
AK $182NY $53.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.